Cognitive Therapy of Anxiety Disorders

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I n d e x 625


of obsessions, 473
of panic attacks, 301
Self-perception; see also Self-schemas
cognitive vulnerability and, 111
heightened sense of vulnerability and, 113–115
in social phobia, 357–358
Self-perpetuating process, 36t, 40–41
Self-referent encoding task, for assessing explicit
memory bias, 89
Self-schemas; see also Self-perception
in PTSD, 508, 511t, 530
in social phobia, 350–351, 350t, 354–356, 369
Serotonergic system, anxiety and, 21–22
Serotonin, anxiety and, 21–22
Severity estimates, modifying, 184–186, 185t
Sexual abuse, childhood
panic disorder and, 287–288
PTSD and, 506
social phobia and, 346
Shame, in PTSD, 497
Shyness, versus social phobia, 337–339, 338t
Shyness and Social Anxiety Workbook, The, 371
Situational (in vivo) exposures, 246–247; see also In
vivo exposures
versus imaginal exposure, 248
Situational analysis, 137–141
elements of, 140–141
interview questions in, 138t
and normalization of fear and anxiety, 186–187
in social phobia, 364, 366
Situational Analysis Form, 163
Situational attentional refocusing, procedure for,
218–219
Situational Record Form, 473
Situational triggers
in panic attacks, 277–278, 280–281, 280t
in social phobia, 350–352, 350t
Situations, activating
in cognitive model, 42–43, 43t
orienting mode of, 44
Social anxiety
cognitive questionnaires of, 363–364
dot probe detection of, 62–63
immobility and, 33
phases of, 366
Social Interaction Anxiety Scale, 361–362
Social Interaction Self-Statement Test, 363
Social phobia
age of onset and course, 342–343
anticipatory phase of, 348–349, 360–361
anxious arousal and panic in, 336
automatic safety seeking and, 85
automatic thoughts in, 79, 80t
avoidant personality disorder and, 340–341
awareness, avoidance, and inhibition in, 336–337
behavioral escape/avoidance and, 83–84
case conceptualization in, 364–369
and autobiographical recall of social threat,
368–369
and core social self-schemas, 369


elements of, 365t
and explicit social threat bias, 367
and phases of social anxiety, 366
safety behaviors and, 368
and self-focused attention and involuntary
inhibition, 367–368
situational analysis in, 364, 366
case illustrations of, 234–235, 332–333
catastrophic interpretations, desired outcome, and
alternative interpretation, 212t
cognitive case formulation for, elements of,
365t–366t
cognitive interventions for, focus on appraisals and
beliefs in, 183–184
cognitive model of, 349f
empirical status of, 353–361
cognitive restructuring in, 200
cognitive theory of, 348–353
anticipatory phase in, 348–349
postevent processing in, 352
situational exposure in, 350–352, 350t
cognitive therapy for, 332–387
assessment and case formulation in, 361–364
cognitive interventions for postevent processing
in, 379–381
cognitive restructuring of anticipatory anxiety in,
372–374, 372t, 375t–376t, 376–377
cognitive restructuring of faulty threat appraisals
in, 377–378
description of, 369–383
diagnostic considerations in, 333–341
education, goal setting, and hierarchy
construction in, 370–372
efficacy of, 381–383
epidemiology and clinical features of, 341–347
exposure to social threat in, 378–379
forms for, 385–387
role-play feedback in, 374
summary and conclusion, 383–384
common fear-provoking interpersonal and
performance situations in, 335t
comorbidity of, 344–345
with GAD, 398
with panic disorder, 284–285
worry and, 93
detrimental effects of, 343
DSM-IV core features of, 9
DSM-IV diagnostic criteria for, 334t
eliminating safety-seeking behavior in, 244
emotional Stroop evaluation of, 59
exposure hierarchy in, 241t
exposure interventions for, graduated versus
intense, 241
and fear of negative evaluation, 334–335
first apprehensive thoughts/images and, 141
focus of negative anxiety interpretation in, 76t
gender and cross-cultural differences in, 342
generalized versus specific, 339–340
maladaptive social self-schemas in, 350–351, 350t
marked distress and interference in, 337
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